Outcomes of Different Laser Types in Laser-assisted Stapedotomy

Kamalski, Digna M. A.; Wegner, Inge; Tange, R. A.; Vincent, Robert; Stegeman, Inge; Heijden, Geert J. M. van der; Grolman, Wilko

doi:10.1097/mao.0000000000000270

Cited by 25 publications

(26 citation statements)

References 18 publications

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“…Recently, Kamalski et al [19] conducted a systematic bibliographic search to identify all original articles, comparing hearing outcome between different lasers used for fenestration in stapedotomy: among a total of 383 unique articles, only two studies were considered eligible for data extraction: they showed a slightly better air-bone gap closure for CO 2 laser compared to KTP laser [17] and an even better postoperative ABG closure in favour of CO 2 laser compared to Er-YAG (22.8 vs 33.4) [4]. Sensorineural hearing loss, measured by postoperative bone conduction shift, did not occur in both study groups.…”

Section: Discussionmentioning

confidence: 98%

Long-term follow-up after “one-shot” CO2 laser stapedotomy: is the functional outcome stable during the years?

Sergi

Lucidi

Corso

et al. 2016

Eur Arch Otorhinolaryngol

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The use of "one-shot" CO laser technique for a primary small-fenestra stapedotomy is well established, but few papers report the long-term functional results. We retrospectively reviewed medical records of 198 patients, treated for otosclerosis from January 2008 to December 2011, at the Department of Head and Neck Surgery, Catholic University of Rome. Statistical comparison between audiological thresholds obtained 24 h preoperatively, at early (4 weeks) and late postoperative examinations (mean time 45 months), was performed. Comparison of preoperative vs both early and late postoperative ACPTA showed a statistically significant difference (respectively 55 vs 33 and 31 dB; p < 0.001). No statistical difference was observed between preoperative, early and late postoperative BCPTA (respectively 23 vs 23 and 22 dB; p > 0.05). Both early and late postoperative ABG improved significantly compared to the preoperative one (respectively 10 and 9 vs 32 dB; p < 0.001). No statistical difference was found in comparison of early vs late postoperative ACPTA (respectively 33 vs 31 dB; p > 0.05), early vs late postoperative ABG (respectively 10 vs 9 dB; p > 0.05) and early vs late ABG gain (respectively 22 vs 23 dB; p > 0.05). No subjects developed postoperative complications requiring revision surgery or late deterioration of hearing threshold. The analysis of our data suggests that "one-shot" CO laser stapedotomy is an effective and safe procedure: it allows a rapid stapedotomy without damages for the inner ear and optimal functional results that remain stable during the years.

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Section: Discussionmentioning

confidence: 98%

Long-term follow-up after “one-shot” CO2 laser stapedotomy: is the functional outcome stable during the years?

Sergi

Lucidi

Corso

et al. 2016

Eur Arch Otorhinolaryngol

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“…Stapedotomy, tympanostomy, and removal of glomus tumors have been documented with use of CO 2 lasers under microscopic guidance, however the combination of the flexible fiber CO 2 laser and a rigid endoscope in transcanal endoscopic ear surgery (TEES) has not been widely reported [4,5].…”

Section: Introductionmentioning

confidence: 99%

Use of the flexible fiber CO 2 laser in pediatric transcanal endoscopic middle ear surgery

Landegger

Cohen

2016

International Journal of Pediatric Otorhinolaryngology

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“…Nevertheless, the use of laser in stapedectomy is increasing gradually, since it causes less damage to the middle and inner ears. 5 6 …”

Section: Introductionmentioning

confidence: 99%

Short-Term Audiological Results of Diode Laser in Comparison with Manual Perforation in Stapes Surgery

Hamerschmidt

Saab

Carvalho

et al. 2017

Int Arch Otorhinolaryngol

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Introduction Diode laser is a new alternative in stapes surgery for otosclerosis. The present study is the first to compare the short-term results of the surgery performed using diode laser to those obtained through the conventional fenestration technique. Objective To use audiometry to establish a comparative analysis between the functional results obtained through surgery for otosclerosis using diode laser and the conventional technique. Method Audiometric evaluation of 12 patients submitted to stapes surgery for otosclerosis, using diode laser or conventional fenestration by needle and drills, between 2014 and 2015. Each group was composed of 6 patients. Pre and post-operative measures were compared for three months in both groups. The speech recognition threshold, the air and bone conduction threshold, as well as the gap between them at 500 Hz, 1 KHz, 2 KHz and 4 KHz were measured. Results Significant difference in bone conduction and SRT was observed when compared post- and preoperative results in the diode group. However diode and conventional technique groups presented significant differences in air conduction and air-bone gap, suggesting that both can provide functional improvement. Conclusion Laser stapedotomy is a safe technique with good results. Both laser surgery and the conventional technique have improved the hearing of patients with a discreet advantage for the diode laser. Further prospective and randomized clinical trials are required to disclose all possible benefits of the stapes surgery using diode laser.

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Outcomes of Different Laser Types in Laser-assisted Stapedotomy

Cited by 25 publications

References 18 publications

Long-term follow-up after “one-shot” CO2 laser stapedotomy: is the functional outcome stable during the years?

Long-term follow-up after “one-shot” CO2 laser stapedotomy: is the functional outcome stable during the years?

Use of the flexible fiber CO 2 laser in pediatric transcanal endoscopic middle ear surgery

Short-Term Audiological Results of Diode Laser in Comparison with Manual Perforation in Stapes Surgery

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